Repaso Reválida Parte #2- Ambiente De Cuidado Seguro Y Efectivo

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| By CASA Turabo
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CASA Turabo
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1. Un colega y usted está en el elevador al terminar su turno, y usted escucha un grupo de profesionales de la salud discutiendo sobre un paciente recién llegado. ¿Qué derechos del paciente pudo haber sido violado?

Explanation

The correct answer is "El derecho de confidencialidad." In this scenario, the colleagues are discussing a recently arrived patient in the elevator, which violates the patient's right to confidentiality. Patient information should be kept private and only shared with those directly involved in the patient's care. Discussing patient information in a public setting like an elevator is a breach of confidentiality.

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Repaso Revlida Parte #2- Ambiente De Cuidado Seguro Y Efectivo - Quiz

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2. Estás trabajando en el cuarto de emergencia cuando una víctima inconsciente de trauma múltiple es admitido. Tú conoces que:

Explanation

If a patient is unconscious and unable to give consent, and the closest relative cannot be contacted, emergency surgery can still be performed if two doctors on duty deem it necessary. This means that the patient does not have to wait for the surgery and can receive immediate medical attention.

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3. Abogar se define como:

Explanation

The correct answer is "Argumentar, dar soporte o defendiendo la causa de los clientes." This is because "abogar" refers to the act of arguing, supporting, or defending the cause of clients.

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4. Usted encuentra un récord médico en el suelo, en el pasillo principal, de una facilidad de cuidado de salud donde usted trabaja, Usted debe:

Explanation

The correct answer is to return the medical record to the medical record department without opening it. This is the appropriate action to take because opening someone else's medical record without authorization violates patient privacy and confidentiality. It is important to handle sensitive medical information with care and follow proper protocols to ensure patient confidentiality is maintained.

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5. Confidencialidad es un derecho asegurado por:

Explanation

HIPAA (Health Insurance Portability and Accountability Act) is a law in the United States that ensures the confidentiality of patient information. It establishes privacy and security standards for protecting personal health information and requires healthcare providers to implement safeguards to protect patient confidentiality. Therefore, HIPAA guarantees confidentiality as a right.

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6. Nuestra madre se está admitiendo para cirugía electiva mañana. Ella no ha compartido información respecto a su hospitalización con sus amistades. Su mejor amiga llama e indica que conoce que hay algo terriblemente mal. Usted entiende que su deber y responsabilidad es:

Explanation

The correct answer is to maintain the privacy and confidentiality of her medical information. This is because it is the responsibility of the healthcare provider to protect the patient's personal and medical information from being disclosed to unauthorized individuals. Sharing such information without the patient's consent would be a violation of their privacy rights and could also breach doctor-patient confidentiality. It is important to respect the patient's wishes and maintain their trust by keeping their medical information confidential.

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7. Los procesos de manejadores de casos son guiados por:

Explanation

Los procesos de manejadores de casos son guiados por estándares de cuidado profesional, protocolos de entrega en cuidado de salud y guías para prácticas de clínicas. Esto significa que los manejadores de casos siguen pautas y directrices establecidas por profesionales de la salud para asegurar que se brinde un cuidado de calidad y se sigan los procedimientos adecuados en el manejo de casos. Por lo tanto, la respuesta correcta es "Todos los mencionados", ya que todas estas opciones son factores importantes en la guía de los procesos de manejo de casos.

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8. Confidencialidad de información de cuidado de salud es:

Explanation

Confidencialidad de información de cuidado de salud es importante tanto para la información escrita como para la información verbal. Esto significa que cualquier información relacionada con la salud de un individuo debe ser tratada de manera confidencial, ya sea que esté escrita en documentos o transmitida verbalmente. La confidencialidad es esencial para proteger la privacidad de los pacientes y garantizar que su información personal no se divulgue sin su consentimiento.

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9. El día antes de una cirugía selectiva, un cliente le pregunta a un profesional de enfermería porque le pidieron completar una directriz anticipada en admisiones. La mejor respuesta del profesional es:

Explanation

The correct answer is "Es un requerimiento legal de todos los clientes admitidos al hospital; tienen la oportunidad para expresar sus deseos a través de una directriz anticipada." This answer explains that completing an advance directive is a legal requirement for all admitted clients and provides them with the opportunity to express their wishes. It suggests that the purpose of the document is to ensure that the healthcare team understands the client's desires and to protect against potential legal issues.

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10. En hospitales de cuidados agudo, el paciente puede esperar ¿Qué personas pueden abogar por el/ ella?

Explanation

In acute care hospitals, all members of the interdisciplinary team can advocate for the patient. This means that not only the healthcare provider, but also the social worker and physical therapist, among others, can advocate for the patient's needs and rights. This ensures that the patient receives comprehensive and holistic care, as all members of the team collaborate and work together to meet the patient's needs.

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11. Su paciente requiere una inyección para mantener niveles terapéuticos de medicamentos, El cliente no quiere el medicamento, pero usted le da el medicamento por orden médica. ¿Qué derecho del paciente usted ha violado?

Explanation

The correct answer is "Rehusar el tratamiento" (Refusing treatment). This is because the patient has expressed their refusal to take the medication, but the healthcare provider still administers it based on the doctor's order. By not respecting the patient's decision and forcing the treatment upon them, the healthcare provider violates the patient's right to refuse treatment.

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12. Manejo de caso envuelven, ¿cuáles disciplinas en la planificación efectiva?

Explanation

The correct answer is "Un equipo Inter-disciplinario incluyendo medicina con profesional de la salud basado en las necesidades individualizadas del paciente." This answer suggests that effective case management involves a multidisciplinary team that includes professionals from various fields, such as healthcare, medicine, therapy, and social work. This approach ensures that the patient's individualized needs are met and addressed by a diverse group of experts working together.

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13. Gerentes de manejo de casos trabajan en ¿Cuáles de los siguientes ambientes?

Explanation

Gerentes de manejo de casos trabajan en hospitales y compañías de seguro, ya que su función es coordinar y gestionar los casos de los pacientes para asegurar que reciban la atención adecuada y los servicios necesarios. También trabajan en residencias de cuidado por profesionales de la salud solamente, donde se encargan de coordinar los cuidados y servicios para los residentes. Además, trabajan en agencias comunitarias, donde se encargan de coordinar y gestionar los servicios para las personas que necesitan atención en la comunidad. Por lo tanto, la respuesta correcta es que trabajan en todas las mencionadas.

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14. El paso a seguir clínico de un gerente en caso de un Fallo Congestivo del Corazón puede incluir todo lo siguiente excepto:

Explanation

The clinical steps to follow for a manager in the case of Congestive Heart Failure may include the following: tracking surgeon appointments with transportation, educating the patient about medication usage, providing nutritional consultation, reviewing the patient's diet and accommodation. However, reviewing insurance for reimbursement is not mentioned as one of the steps.

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15. La autoridad otorgada en un Poder Notariado es revocable por:

Explanation

The correct answer is "La persona que originalmente delegó la autoridad siguiendo procedimientos de documentación correctos." This means that the authority granted in a Notary Power can be revoked by the person who originally delegated the authority, as long as they followed the correct documentation procedures. This suggests that the person who granted the authority has the power to revoke it if they so choose, as long as they followed the proper legal procedures when delegating the authority in the first place.

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16. Protección legal de confidencialidad:

Explanation

The correct answer is "Se extiende a ambos información verbal y escrita." This means that legal protection of confidentiality applies to both verbal and written information. The explanation states that it is important not only within the judicial system and extends to the dissemination of electronic information that is not identifiable to a patient. This suggests that the legal protection covers all forms of information, both verbal and written.

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17. El requerimiento legal para el mantenimiento de la confidencialidad de la información del paciente en el cuidado de la salud se extiende a todo Io siguiente excepto:

Explanation

The legal requirement for maintaining patient information confidentiality in healthcare extends to doctors, social workers, and receptionists of doctor's offices. However, it does not extend to the media. This means that the media is not legally bound to maintain patient information confidentiality. They may report on healthcare-related matters and disclose patient information without violating any legal requirements.

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18. Una directriz avanzada es escrita y notariada en el estado de Colorado. Este documento es legal y obligatorio:

Explanation

The correct answer is "En el estado de Colorado exclusivamente." This means that the advanced directive is only legal and obligatory within the state of Colorado. It is not applicable internationally, on the continent of the United States, or in the country of origin.

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19. Un profesional de Enfermería que aboga es aquel que:

Explanation

A professional nurse advocate encourages people to make their own decisions and acts on their behalf to support those decisions. This means that the nurse empowers individuals to take control of their own healthcare decisions while also providing assistance and support when needed. The nurse does not make decisions for others or serve as their legal representative.

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20. El profesional de Enfermería que atiende a una cliente, descubre durante el proceso de admisión que ella no tiene directrices anticipadas. Ella pregunta si hay reglas específicas para nombrar un Poder Notariado Durable para Manejo de Cuidado (DPOAHC) o requerimiento de documentos. Usted contesta correctamente:

Explanation

The correct answer is "El documento DPOAHC tiene que contener el nombre, dirección, e información de contacto de la persona nombrada." This answer is correct because it states that the DPOAHC document must include the name, address, and contact information of the person appointed. This information is necessary to clearly identify and communicate with the appointed person regarding the client's healthcare decisions and preferences.

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21. El rol de un profesional de enfermería clínico en la entrega del cuidado de salud es:

Explanation

The role of a clinical nursing professional in delivering healthcare is to consult and collaborate with an interdisciplinary team to develop and implement a comprehensive care plan for specific patients. This involves working together with other healthcare professionals to create a plan that addresses the specific needs and conditions of each patient. By consulting and collaborating, the nursing professional ensures that the care provided is comprehensive and tailored to the individual patient's requirements.

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22. Conoces por primera vez a tu gerente de servicios profesionales. Ella hace contacto visual, sonríe, inicia una conversación sobre tu experiencia previa, y anima tu activa participación en el diálogo. Su comportamiento es un ejemplo de:

Explanation

The behavior described in the question, where the manager makes eye contact, smiles, initiates a conversation about previous experience, and encourages active participation in the dialogue, is an example of assertiveness. This is because assertiveness involves confidently expressing one's thoughts, feelings, and needs while respecting the rights and boundaries of others. The manager's behavior demonstrates a balance between being proactive and respectful, which aligns with assertiveness.

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23. Las directrices avanzadas del paciente tienen fecha del 12 de agosto de 2013. La hija del paciente le muestra un Poder Notariado para Cuidado de Salud con fecha del 2015 que contiene instrucciones de cuidado de salud diferente. Como profesional de 'la salud debe:

Explanation

The correct answer is to follow the guidelines of the 2015 version, place it in the patient's record, communicate it, and keep it up to date appropriately. This is because the daughter of the patient has presented a Notarized Health Care Power of Attorney with a date of 2015 that contains different health care instructions. As a healthcare professional, it is important to follow the most recent and updated version of the patient's advanced directives to ensure that their wishes and preferences are respected and followed.

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24. Un paciente es "competente" cuando él/ella es:

Explanation

A patient is considered "competent" when they are able to understand the risks and benefits of treatment alternatives and make rational decisions based on the information. This means that they have the cognitive ability to comprehend and analyze the information provided to them, allowing them to make informed choices about their healthcare.

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25. La edad legal para expresar sus deseos a través de directrices avanzadas es:

Explanation

The correct answer is 18 años. This is because at the age of 18, individuals are considered adults and have the legal capacity to express their wishes through advanced directives. Advanced directives are legal documents that allow individuals to communicate their healthcare preferences in the event that they are unable to make decisions for themselves.

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26. Estándares de práctica del profesional de enfermería:

Explanation

The correct answer is "Proveen argumentos autoritativos en donde la calidad de práctica, servicios, o educación pueden ser evaluada." This answer states that nursing practice standards provide authoritative arguments where the quality of practice, services, or education can be evaluated. This implies that these standards serve as a benchmark for assessing the quality of nursing practice and related services, ensuring that they meet the highest acceptable level.

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27. Como profesional de la salud trabajando en una clínica de servicios gratis, usted se percata que personas económicamente privilegiadas pueden obtener cuidados de salud de:

Explanation

En una clínica de servicios gratis, las personas económicamente privilegiadas podrían obtener cuidados de salud en salas de emergencias o facilidades de urgencias, ya que estas instalaciones están disponibles para cualquier persona que necesite atención médica inmediata, independientemente de su capacidad de pago. Los servicios de un médico de atención primaria, clínicas de vecindario y especialistas podrían no estar disponibles o ser limitados en una clínica de servicios gratis.

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28. Un cliente de 80 años de edad se está dando de alta del hospital después de un reemplazo de rodilla total. Su único hijo ha decidido llevárselo y cuidarlo en su residencia. Durante la planificación de darse de alta, es muy apropiado que el profesional de la salud le pregunte al hijo:

Explanation

The question about whether caring for his mother will affect his way of living is appropriate because it addresses a potential concern for the son. Taking care of an elderly parent can have a significant impact on a person's lifestyle, so it is important to assess if the son is prepared for the changes and challenges that may arise.

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29. Para individuos que ya no son capaces de hablar para ellos mismos, el orden de subrogar la orden de tomar decisiones del manejo de cuidado es:

Explanation

The correct order for subrogating the decision-making authority for individuals who are no longer able to speak for themselves is: Guardian, DPOAHC (Durable Power of Attorney for Health Care), spouse, adult children of the patient, parents of the patient, adult siblings of the patient, spouse. This order prioritizes the legal guardian, followed by the designated healthcare proxy, then the spouse, adult children, parents, adult siblings, and finally, the spouse again.

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30. Como profesional de la salud y planificador del paciente para darle de alta del cuidado agudo, usted determina que los servicios de cuidado al hogar están indicado clínicamente. Su estimado, basado en todos los indicadores, excepto en:

Explanation

The correct answer is "Los familiares de su paciente estarán disponibles para cuidar de las 24 horas al día." This statement suggests that there will be someone available to provide care for the patient at all times, which is a positive indicator for home care services. The other indicators, such as the patient's hospital admissions and the need for a urinary catheter, do not necessarily indicate a need for home care services. Additionally, the patient continuing IV antibiotics after discharge may be managed through outpatient services rather than home care.

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31. En la relaciones entre ordenes DNR y directrices anticipadas (DA), todas las siguientes son correctas excepto:

Explanation

A directiva anticipada (DA) es un documento legal que permite a una persona expresar sus deseos sobre el tratamiento médico que desea recibir en caso de no poder tomar decisiones por sí misma. Una orden de no resucitar (DNR) es una instrucción médica que establece que no se deben realizar maniobras de resucitación en caso de paro cardíaco. Aunque una DA puede ayudar a un cirujano a decidir si una orden DNR es apropiada para un paciente en particular, no se puede asumir automáticamente que un paciente con una DA también tiene una orden DNR. La DA puede incluir otros deseos de tratamiento además de la no resucitación. Por lo tanto, la afirmación de que se puede asumir que un paciente con una DA es un DNR es incorrecta.

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32. Copias de directrices anticipadas deben de ser:

Explanation

The correct answer is "Provided to each care management institution." This means that copies of advance directives should be given to every institution responsible for managing the person's care. This ensures that all healthcare providers involved in the person's care are aware of their wishes and can follow the directives accordingly.

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33. Un profesional de Enfermería se da cuenta que una familia está esperando en la estación de enfermería a que su familiar regrese de un estudio. Esto sucede durante el cambio de turno y reporte. El profesional de enfermería:

Explanation

The correct answer is that the nurse asks the family to wait for their relative in the patient's room and waits to continue with the report until the family member has left the nursing station. This is the most appropriate response because it ensures the privacy and comfort of the patient's family while also allowing the nurse to continue with their duties without interruption. It also respects the professional boundaries and confidentiality of the nursing station.

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34. Confidencialidad es un derecho que pacientes que se soporta por:

Explanation

The correct answer is "Todo lo mencionado" because all the options mentioned (The American Hospital Association's "Patient's Bill of Rights" Act, the ANA Code of Ethics, and the HIPAA law) support the right to confidentiality for patients.

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35. Propia determinación de paciente es el enfoque primario de:

Explanation

The correct answer is "Respaldo del profesional de Enfermería hacia el paciente" because it states that the primary focus is on the support provided by the nursing professional to the patient. This implies that the patient's own determination and decision-making process are taken into consideration and supported by the nurse, ensuring that the patient is actively involved in their own healthcare decisions and choices.

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36. Revelación de información de cuidado de salud puede ocurrir:

Explanation

The correct answer is "Todas las Anteriores" which means "All of the above" in English. This means that the revelation of healthcare information can occur when there is a permission from the competent patient, under no circumstances, when there is no risk to safety, and only when permission is granted by the court.

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37. Cuando los pacientes no pueden tomar decisiones por ellos mismos, el profesional de enfermería que aboga depende de los principios de ética de:

Explanation

The correct answer is "Beneficios y sin maldad". This means that when patients are unable to make decisions for themselves, the advocating nursing professional relies on the principles of benefiting the patient and not causing harm. This implies that the nurse's actions should aim to promote the patient's well-being and avoid any actions that could potentially harm them. The principle of beneficence guides the nurse to act in the best interest of the patient, while the principle of non-maleficence ensures that the nurse avoids causing any harm to the patient.

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38. El señor H. está enojado debido a que tiene que quedarse en el hospital un día más e indica que es muy costoso. Los derechos que puede estar expresando incluye todo lo siguiente excepto:

Explanation

The correct answer is the right to confidentiality. This is because the passage does not mention anything about the patient's concern for his medical information being kept confidential. Instead, the passage focuses on the patient's anger about having to stay in the hospital for an extra day and the cost associated with it.

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39. Todas las siguientes dan soporte al profesional de enfermería y respalda a su paciente, Excepto:

Explanation

The correct answer is "Actos de práctica federal del profesional de enfermería" because all of the other options mentioned in the question provide support to the nursing professional and their patients. The ANA Code of Ethics for the nursing profession guides ethical decision-making, the review of institutional boards protects human identities involved in research, and JCAHO (Joint Commission on Accreditation of Healthcare Organizations) sets standards for quality and safety in healthcare. However, "Actos de práctica federal del profesional de enfermería" does not provide support to the nursing professional or their patients.

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40. Información de cuidado de salud no cubierto por legislación de confidencialidad incluye:

Explanation

The correct answer is "Información que puede ser razonablemente entregado para identificar a un individuo." This means that the information that can reasonably be used to identify an individual is not covered by confidentiality legislation. This suggests that there are certain types of health information that, even though they may not directly identify someone, can still be used to identify them with some effort or additional information. Therefore, such information is not protected by confidentiality laws.

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41. El efecto de manejadores de casos en los sistemas de manejo de cuidados están dirigidos a:

Explanation

The effect of case managers in care management systems is aimed at reducing the length of hospital stays, as stated in the answer. Case managers help coordinate and manage the care of patients, ensuring that they receive the appropriate level of care and services. By efficiently managing the care process, case managers can help prevent unnecessary hospital admissions and facilitate timely discharges, ultimately reducing the time patients spend in the hospital. This can lead to improved patient outcomes, cost savings, and better utilization of healthcare resources.

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42. La secuencia el proceso de Enfermería en el manejo de casos es:

Explanation

The correct answer is "Estimado, planificación, implementación, coordinación, y monitorear, evaluación." This sequence follows the logical order of the nursing process in managing cases. It starts with estimating the needs of the patient, followed by planning the appropriate interventions. Then, the implementation of the planned interventions takes place, followed by coordination with other healthcare professionals. Finally, the process is monitored and evaluated to assess the effectiveness of the interventions.

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Un colega y usted está en el elevador al terminar su turno, y...
Estás trabajando en el cuarto de emergencia cuando una...
Abogar se define como:
Usted encuentra un récord médico en el suelo, en el...
Confidencialidad es un derecho asegurado por:
Nuestra madre se está admitiendo para cirugía electiva...
Los procesos de manejadores de casos son guiados por:
Confidencialidad de información de cuidado de salud es:
El día antes de una cirugía selectiva, un cliente le...
En hospitales de cuidados agudo, el paciente puede esperar...
Su paciente requiere una inyección para mantener niveles...
Manejo de caso envuelven, ¿cuáles disciplinas en la...
Gerentes de manejo de casos trabajan en ¿Cuáles de los...
El paso a seguir clínico de un gerente en caso de un Fallo...
La autoridad otorgada en un Poder Notariado es revocable por:
Protección legal de confidencialidad:
El requerimiento legal para el mantenimiento de la confidencialidad de...
Una directriz avanzada es escrita y notariada en el estado de...
Un profesional de Enfermería que aboga es aquel que:
El profesional de Enfermería que atiende a una cliente,...
El rol de un profesional de enfermería clínico en la...
Conoces por primera vez a tu gerente de servicios profesionales. Ella...
Las directrices avanzadas del paciente tienen fecha del 12 de agosto...
Un paciente es "competente" cuando él/ella es:
La edad legal para expresar sus deseos a través de directrices...
Estándares de práctica del profesional de...
Como profesional de la salud trabajando en una clínica de...
Un cliente de 80 años de edad se está dando de alta del...
Para individuos que ya no son capaces de hablar para ellos mismos, el...
Como profesional de la salud y planificador del paciente para darle de...
En la relaciones entre ordenes DNR y directrices anticipadas (DA),...
Copias de directrices anticipadas deben de ser:
Un profesional de Enfermería se da cuenta que una familia...
Confidencialidad es un derecho que pacientes que se soporta por:
Propia determinación de paciente es el enfoque primario de:
Revelación de información de cuidado de salud puede...
Cuando los pacientes no pueden tomar decisiones por ellos mismos, el...
El señor H. está enojado debido a que tiene que quedarse...
Todas las siguientes dan soporte al profesional de enfermería y...
Información de cuidado de salud no cubierto por...
El efecto de manejadores de casos en los sistemas de manejo de...
La secuencia el proceso de Enfermería en el manejo de casos es:
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